DR. KARL MARTIN SCHWEITZER JR. MD
NPI 1730346446
Orthopaedic Surgery in Raleigh, NC

Q: What is Karl Schweitzer's NPI number?

The NPI number for Karl Schweitzer is 1730346446. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Karl Schweitzer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Karl Schweitzer was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment

3480 WAKE FOREST RD, SUITE 204, RALEIGH, NC 27609(919) 862-5093(919) 862-5605 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Karl Martin Schweitzer Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARL MARTIN SCHWEITZER JR. MD (NPI 1730346446) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (148964) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2008).

NPPES Registry Identity

NPI1730346446

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. KARL MARTIN SCHWEITZER JR.Credential: MD

Location Address3480 WAKE FOREST RD, SUITE 204Raleigh, NC 27609-7376

Mailing Address3480 Wake Forest Rd, Suite 204Raleigh, NC 27609-7376 · (919) 862-5093 · Fax (919) 862-5605

Phone(919) 862-5093

Fax(919) 862-5605

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008

Enumeration DateMay 20, 2008

Last NPPES UpdateJuly 24, 2014

✔ NPI 1730346446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NC · 148964

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3480 WAKE FOREST RD, Raleigh, NC 27609

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Other Identifiers 4

MedicaidNC1796SC

Medicaid1730346446NC

Medicare NSC0397730024NC

Medicare PINNCC187ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karl Martin Schweitzer Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890934384

PECOS Enrollment IDI20130612000746

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

277 services176 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

236 services176 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

226 services116 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

48 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services40 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

43 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

17 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Reconstruction of ankle joint with prosthesis 27702

Reconstruction of the ankle joint with a prosthesis is a surgical procedure to replace a damaged ankle with an artificial joint. This is done to alleviate pain, improve mobility, and restore function in individuals with severe ankle conditions.

15 services14 patients

Lengthening of calf muscle 27687

Lengthening of the calf muscle is a procedure aimed at increasing flexibility and improving motion in the foot and ankle. This surgical process involves making a small incision to release the tight muscle or tendon, aiding in better mobility.

14 services14 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers28 claims28 services$20.17 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$25.62 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers20 claims20 services$8.59 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers31 claims31 services$213.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIVATE DIAGNOSTIC CLINIC, PLLC

Neurological Surgery

3480 WAKE FOREST RD, SUITE 500
RALEIGH, NC 27609

Wake County (919) 862-5075

DR. JUSTIN RICHARD SCRUGGS M.D.

Physical Medicine & Rehabilitation

3480 WAKE FOREST RD, # 208
RALEIGH, NC 27609

Wake County (919) 781-4541

AARON C LENTZ M.D.

Urology

3480 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 862-5600

JESSICA RENEE JONES PA

Physician Assistant

3480 WAKE FOREST RD, SUITE 414
RALEIGH, NC 27609

Wake County (919) 862-5970

MR. ZACHARY YATES LENNON AGACNP-BC

Nurse Practitioner (Acute Care)

3480 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 684-4267

KENSI COBB SAIA AUDIOLOGIST

Audiologist

3480 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 684-8111

MS. KATHERINE ANNE GILLIS PA-C

Physician Assistant (Surgical)

3480 WAKE FOREST RD, SUITE 512
RALEIGH, NC 27609

Wake County (919) 862-5970

MELISSA CATHLEEN GINESI AUDIOLOGIST

Audiologist

3480 WAKE FOREST RD, SUITE 404
RALEIGH, NC 27609

Wake County (919) 684-8111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karl Schweitzer's NPI number?

The NPI number for Karl Schweitzer is 1730346446. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Karl Schweitzer located?

Karl Schweitzer practices at 3480 Wake Forest Rd Suite 204, Raleigh, NC 27609. The listed phone number is (919) 862-5093.

What is Karl Schweitzer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karl Schweitzer enrolled in Medicare?

Yes. Karl Schweitzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karl Schweitzer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Karl Schweitzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karl Schweitzer affiliated with any hospitals?

According to CMS data, Karl Schweitzer is affiliated with Duke University Hospital and Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Karl Schweitzer was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.